Title: Pediatrics - Emergency Medicine: Abdominal Emergencies; Pediatric Poisonings; Pediatric Meningitis

Faculty: Robert A. Belfer, M.D., Mark D. Joffe, M.D., F.A.A.P., Michael J. Muszynski, M.D., F.A.A.P.

Original Release Date: July 1, 2019  Expiration Date: July 1, 2022

TOPIC 1: Non-Traumatic Surgical Abdominal Emergencies.

Upon completion of this session, using national Evidence Based Medicine sources including Cochrane Collaboration and published guidelines from sources including the American Academy of Pediatrics, the participant should be able to: ^{EBM, GL, COMP}

1. Recognize pediatric abdominal processes that require surgical intervention.
2. Formulate and prepare initial emergency room management of specific abdominal surgical emergencies.

TOPIC 2: Pediatric Poisonings.

Upon completion of this session, using AAP guidelines and evidence-based medicine, the participant should be able to:  ^{EBM, GL, COMP}

1. Review data on pediatric poisonings including recent trends.
2. Employ appropriate gastrointestinal decontamination in a variety of pediatric ingestions.
3. Discuss management of several specific poisonings.

TOPIC 3: Pediatric Meningitis Revisited.

Upon completion of this session, the participant should be able to: ^{GL, COMP}

1. Appraise common presenting features of bacterial and viral meningitis.
2. Determine the pathogens and develop a treatment plan concerning bacterial meningitis in children as per the Cochrane Database, systematic reviews, and AAP Guidelines.
3. Recognize the management priorities and potential complications of bacterial meningitis.
4. Relate the effects of immunizations practices on bacterial meningitis.

Title: Pediatrics - Orthopedics: Pediatric Orthopedics; Orthopedic Conditions; Child with a Limp

Faculty: Andrew D. Perron, M.D., F.A.C.E.P., F.A.C.S.M., Robert A. Belfer, M.D.

Original Release Date: July 1, 2019  Expiration Date: July 1, 2022

TOPIC 1: Pediatric Orthopedic Pearls and Pitfalls.

Pediatric orthopedic injuries are frequently seen in the Emergency Department.  This population is at risk for missed or mis-managed orthopedic injuries based on inability to provide a history, presence of growth plates and ossification centers, and the imbalance of stronger ligaments and pliable bone.  Upon completion of this session, the participant should be able to: EBM, COMP

1. Determine the presence of, and apply the evidence-based treatment for Salter-Harris injuries.
2. Formulate strategies to avoid the missed diagnosis of pediatric supracondylar humeral fractures.
3. Integrate effective methods to avoid the missed diagnosis of slipped-capital-femoral epiphysis and employ the acute treatment algorithm once it is identified.

TOPIC 2: Orthopedic Conditions Above the Hip.

Upon completion of this session, using national Evidence Based Medicine sources including Cochrane Collaboration and published guidelines from sources including the American Academy of Pediatrics, the participant should be able to: ^{EBM, GL, COMP}

1. Interpret radiographs that demonstrate Salter-Harris fractures in the pediatric patient.
2. Initially manage fractures of the upper extremity and recognize when to refer to an Orthopedic Surgeon.
3. Develop management plans for fractures; assess the need for urgent orthopedic consultation.

TOPIC 3: The Child with a Limp.

Upon completion of this session, using national Evidence Based Medicine sources including Cochrane Collaboration and published guidelines from sources including the American Academy of Pediatrics, the participant should be able to: ^{EBM, GL, COMP}

1. Discuss the importance of age to specific hip pathology.
2. Differentiate etiologies of limp in the pediatric patient.
3. Review management of specific orthopedic conditions.

Title: Pediatrics - Pulmonary: Upper Airway Emergencies; Respiratory Infections; Asthma

Faculty: Robert A. Belfer, M.D., Michael J. Muszynski, M.D., F.A.A.P., Richard J. Scarfone, M.D., F.A.A.P.

Original Release Date: July 1, 2019  Expiration Date: July 1, 2022

TOPIC 1: Upper Airway Emergencies in the Pediatric Patient.

Upon completion of this session, using national Evidence Based Medicine sources including Cochrane Collaboration and published guidelines from sources including the American Academy of Pediatrics, the participant should be able to: ^{EBM, GL, COMP}

1. Recommend medication therapy for selected upper airway emergencies.
2. Interpret the most recent evidence-based literature in the approach to the child with croup.
3. Distinguish and discriminate among the varied presentations of pediatric stridor.

TOPIC 2: Pediatric Lower Respiratory Infections.

Upon completion of this session, using the evidence-based guidelines from EBM publications, the participant should be able to: ^{EBM, GL, COMP}

1. Integrate the association of age, seasonal, clinical presentation, and chest x-ray findings with the etiology of pediatric pneumonia.
2. Develop a diagnostic approach to infants and children suspected to have pneumonia and discuss the treatment options and the implications of emerging bacterial resistance.
3. Apply the American Academy of Pediatrics Guidelines to the child with bronchiolitis.

TOPIC 3: Management of Acute Asthma.

Upon completion of this session, using evidence-based guidelines, the participant should be able to: ^{EBM, GL, COMP}

1. Apply evidence from the Cochrane Database to make decisions about utilizing either nebulizers or metered-dose inhalers with spacers to deliver beta₂-agonists to appropriate candidates.
2. Summarize the evidence supporting the use of ipratropium bromide and corticosteroids for moderately ill asthmatic children.
3. Develop an organized approach to the initial management of children with severe asthma.

Title: Pediatrics - Sports Medicine: Concussion; Pediatric Orthopedic Injuries; Pre-Participation Exam

Faculty: Jennifer Maynard, M.D., Walter C. Taylor, M.D.

Original Release Date: July 1, 2019  Expiration Date: July 1, 2022

TOPIC 1: Sports Related Concussion.

Upon completion of this session, the participant should be able to: ^{GL, COMP}

1. Recognize the signs and symptoms of sports related concussion (SRC)
2. Demonstrate sideline and in-office evaluation of SRC
3. Apply return to play guidelines per consensus recommendations and specific state laws

TOPIC 2: Pediatric Orthopedic Injuries.

Upon completion of this session, the participant should be able to: ^{GL,  COMP}

1. Identify the areas of a long bone in a child and describe the Salter-Harris fracture classification
2. Recognize common injuries and treatment recommendations of the pediatric upper and lower extremity
3. Evaluate various apophyseal injuries based on location

TOPIC 3: The Sports Pre-participation Examination (PPE).

Upon completion of this session, the participant should be able to: ^{GL, COMP}

1. Employ the American Heart Association Guidelines when screening athletes for cardiovascular disease during the PPE
2. Determine if an athlete with impaired vision or solitary kidney can be cleared to participate in sports
3. Determine under what circumstances an athlete with seizure disorder can be cleared to participate in specific sports
4. Employ BP guidelines for children and adolescents with respect to sports participation

Title: Pediatrics – Pediatric Updates: Antibiotics; Pathogens in the News; Teaching Pearls

Faculty: Stephen C. Eppes, M.D., F.A.A.P., Richard J. Scarfone, M,D,, F.A.A.P.

Original Release Date: July 1, 2019  Expiration Date: July 1, 2022

TOPIC 1: Antibiotic Update.

Upon completion of this session, the participant should be able to: ^COMP

1. Review recent trends in antibiotic resistance.
2. Improve empiric antibiotic usage for common pediatric conditions.
3. Develop strategies to resist further bacterial resistance, as recommended by the CDC.

TOPIC 2: Pathogens in the News: What Do They Mean For You.

Upon completion of this session and using the guidelines from the CDC, the participant should be able to: ^{GL, COMP}

1. Recognize the current epidemiology of highly contagious viral or other infectious diseases that are of most immediate public health concern.
2. Identify key clinical manifestations, as documented by the CDC guidelines, of these diseases.
3. Plan for necessary precautions for newly identified viruses as developed and recommended by the CDC protocols and guidelines.
4. Employ CDC recommended actions to contact Hospital, Local, State and Federal Health Officials as appropriate or mandated.

TOPIC 3: Teaching Pearls You Should Know.

Upon completion of this session, using data and results from clinical trials and referenced EBM, the participant should be able to: ^{EBM, COMP}

1. Use test characteristics such as positive predictive value to interpret diagnostic test results.
2. Order diagnostic tests appropriately by considering risks and benefits.
3. Apply key teaching points to enhance management of specific diagnostic conditions.